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Titolo:
Nocturnal non-dipping: what does it augur?
Autore:
Pickering, TG; Kario, K;
Indirizzi:
CUNY, Mt Sinai Med Ctr, Integrat & Behav Cardiol Program, New York, NY 10029 USA CUNY New York NY USA 10029 Behav Cardiol Program, New York, NY 10029 USA Jichi Med Sch, Dept Cardiol, Tochigi, Japan Jichi Med Sch Tochigi JapanJichi Med Sch, Dept Cardiol, Tochigi, Japan
Titolo Testata:
CURRENT OPINION IN NEPHROLOGY AND HYPERTENSION
fascicolo: 5, volume: 10, anno: 2001,
pagine: 611 - 616
SICI:
1062-4821(200109)10:5<611:NNWDIA>2.0.ZU;2-N
Fonte:
ISI
Lingua:
ENG
Soggetto:
AMBULATORY BLOOD-PRESSURE; LEFT-VENTRICULAR MASS; ELDERLY HYPERTENSIVE PATIENTS; CHRONIC-RENAL-FAILURE; NORMOTENSIVE SUBJECTS; CIRCADIAN-RHYTHM; HEMODIALYSIS-PATIENTS; DIABETES-MELLITUS; MORTALITY; NONDIPPER;
Tipo documento:
Review
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
57
Recensione:
Indirizzi per estratti:
Indirizzo: Pickering, TG CUNY, Mt Sinai Med Ctr, Integrat & Behav Cardiol Program, POB 1030, New York, NY 10029 USA CUNY POB 1030 New York NY USA 10029 , New York, NY 10029 USA
Citazione:
T.G. Pickering e K. Kario, "Nocturnal non-dipping: what does it augur?", CURR OP NEP, 10(5), 2001, pp. 611-616

Abstract

The non-dipping pattern of blood pressure (defined as a nocturnal fall of less than 10%) occurs in about 25% of hypertensives, with increased prevalence in certain sub-groups such as diabetics, African-Americans, and patients with renal disease. It almost certainly has multiple causes, including factors such as the levels of activity and arousal during both the day and the night, the depth and quality of sleep, and the activity of the sympathetic nervous system, among others. In patients with uncomplicated hypertension, the reproducibility is relatively low. There is evidence suggesting that the non-dipping pattern may have an adverse prognosis: thus, it appears to predict the progression of renal disease, to be associated with increased target-organ damage (in some studies), and also to predict increased cardiovascular morbidity. Antihypertensive drug treatment can normalize the non-dipping pattern, but the therapeutic consequences of this are unknown. Curr Opin Nephrol Hypertens 10;611-616. (C) 2001 Lippincott Williams & Wilkins.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 11/07/20 alle ore 20:40:24